-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, D6ApNP9GAjF3uAyQjdwJ7sfd5ERzrVgatjBRcYmzXkMkM2n+yQ0EFuQ8j3GQ5Lc2 8rXTJBhPR3jZ1WRK0MLgYA== 0000895813-02-000111.txt : 20020610 0000895813-02-000111.hdr.sgml : 20020610 20020607150211 ACCESSION NUMBER: 0000895813-02-000111 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020531 FILED AS OF DATE: 20020607 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CIB MARINE BANCSHARES INC CENTRAL INDEX KEY: 0000861955 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371203599 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24149 FILM NUMBER: 02673584 BUSINESS ADDRESS: STREET 1: N27 W24025 PAUL COURT CITY: PEWAUKEE STATE: WI ZIP: 53072 BUSINESS PHONE: 4146956010 MAIL ADDRESS: STREET 1: N27 W24025 PAUL COURT CITY: PEWAUKEE STATE: WI ZIP: 53072 FORMER COMPANY: FORMER CONFORMED NAME: CENTRAL ILLINOIS BANCORP INC DATE OF NAME CHANGE: 19980427 COMPANY DATA: COMPANY CONFORMED NAME: STRAKA PATRICK J CENTRAL INDEX KEY: 0001079600 OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O CENTRAL ILLINOIS BANCORP INC STREET 2: N27 W24025 PAUL COURT CITY: PEWAUKEE STATE: WI ZIP: 53072 BUSINESS PHONE: 4146956010 MAIL ADDRESS: STREET 1: C/O CENTRAL ILLINOIS BANCORP INC STREET 2: N27 W24025 PAUL COURT CITY: PEWAUKEE STATE: WI ZIP: 53072 4 1 x607-4pjs.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). 1. Name and Address of Reporting Person(1): Patrick John Straka W331 N5470 Solveson Drive Nashotah, WI 53058 U.S.A. 2. Issuer Name and Ticker or Trading Symbol: CIB Marine Bancshares, Inc. (not listed) 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: May 2002 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person(s) to Issuer (Check all applicable): ( ) Director ( ) 10% Owner (x) Officer (give title below) ( ) Other (specify below): Senior Vice President and Chief Investment Officer 7. Individual or Joint/Group Filing (Check Applicable Line): (x) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount of 2. Trans- Securities 6. Owner- action 3. Trans- Beneficially ship Form: 1. Title of Date action 4. Securities Acquired Owned at End Direct (D) or 7. Nature of Indirect Security (Month/ Code (A) or Disposed of (D) of Month Indirect (I) Beneficial Ownership (Instr. 3) Day/Year) (Instr. 8) (Instr. 3, 4 and 5) (Instr. 3 and 4) (Instr. 4) (Instr. 4) ----------- --------- ---------- ---------------------- ---------------- ------------- --------------------- Code V Amount (A)or(D) Price ---- - ------ -------- ----- Common Stock 3,316 D Common Stock 4,800(2) I By SIG; a general partnership Common Stock 1,500(2) I By Straka & Straka; a general partnership Common Stock 05/01/02 S 2,250 D 0 I By Straka, Straka, Straka; a general partnership Common Stock 3,465.9(1) I By ESOP
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
10. 9. Owner- 5. Number ship 2. Number of Deri- Form of 11. Conver- of Deriv- vative Deri- Nature sion or ative Securi- vative of Exer- Secur- ties Secur- Indi- cise 3. ities 7. 8. Benefi- ity: rect 1. Price Trans- Acquired 6. Title and Price cially Direct Benefi- Title of of action 4. (A) or Date Exer- Amount of of Deriv- Owned at (D) or cial Deriv- Deriv- Date Trans- Disposed cisable and Underlying ative End of Indirect Owner- ative ative (Month/ action of (D) Expiration Securities Security Month (I) ship Security Secur- Day/ Code (Instr. 3, Date(Month/ (Instr. 3 (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) (Instr. 8) 4 and 5) Day/Year) and 4) 5) 4) 4) 4) ---------- ------- ------- ---------- ---------- --------------- ------------------ -------- -------- -------- ------- Code V (A) (D) Date ---- - --- --- Exer- Expir- Amount or cis- ation Number of able Date Title Shares ----- ------ ----- --------- Employee $13.19 (3) 04/30/07 Common 3,600 3,600 D Stock Stock Option (right to buy)(3) Employee $13.07 (4) 02/25/08 Common 9,150 9,150 D Stock Stock Option (right to buy)(4) Employee $16.23 (5) 07/29/09 Common 5,250 5,250 D Stock Stock Option (right to buy)(5) Employee $18.40 (6) 07/27/10 Common 7,704 7,704 D Stock Stock Option (right to buy)(6) Employee $22.89 (7) 11/29/11 Common 8,191 8,191 D Stock Stock Option (right to buy)(7)
Explanation of Responses: (1) Represents shares allocated to the reporting person, at 12/31/01, pursuant to the issuer's ESOP. (2) The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. (3) The employee stock option vests in five equal annual installments which began on April 30, 1998. (4) The employee stock option vests in five equal annual installments which began on February 25, 1999. (5) The employee stock option vests in five equal annual installments which began on July 29, 2000. (6) The employee stock option vests in five equal annual installments which began on July 27, 2001. (7) The employee stock option vests in five equal annual installments which began on November 29, 2002. SIGNATURE OF REPORTING PERSON: /s/ Patrick J. Straka ------------------------------ Patrick J. Straka Dated: June 7, 2002 -----END PRIVACY-ENHANCED MESSAGE-----